同期双侧输尿管软镜治疗双肾结石的疗效分析  

The analysis of curative effect of simultaneous bilateral flexible ureteroscopy lithotripsy for bilateral renal stones

作　　者：曾进[1] 刘涛[1] 李杰[1] 李秋伯 陈瑶[1] 姜庆[1] ZENG Jin;LIU Tao;LI Jie;LI Qiubo;CHEN Yao;JIANG Qing(Department of Urology,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院泌尿外科,400010

出　　处：《检验医学与临床》2018年第7期909-911,共3页Laboratory Medicine and Clinic

摘　　要：目的探讨同期双侧输尿管软镜碎石术(SB-FURL)治疗双肾结石的安全性及有效性。方法回顾性分析该院2015年4月至2017年5月行双侧FURL治疗的101例患者,选取符合研究标准的76例患者作为研究对象,39例患者行SB-FURL治疗作为同期组,37例患者行分期双侧FURL治疗作为分期组,比较两组患者术后1个月结石清除率(SFR)、总手术时间、总住院时间及并发症发生率。结果两组患者均顺利完成手术,两组患者总手术时间、并发症发生率、SFR差异均无统计学意义(P>0.05)。同期组平均住院时间短于分期组,差异有统计学意义(P<0.05)。两组患者术中均未发生输尿管穿孔及输尿管黏膜撕脱,术后均未发生尿源性脓毒血症、肾功能不全等严重并发症。结论 SB-FURL治疗双肾结石是安全且有效的,但术前仍需严格把握手术适应证。Objective To analyze the safety and efficacy of simultaneous bilateral flexible ureteroscopy lithotripsy(SB-FURL)for bilateral renal stones.Methods A retrospective analysis of 101 patients who underwent bilateral flexible ureteroscopy lithotripsy in the hospital from April 2015 to May 2017 were selected.And 76 of them met the research criteria,39 patients who underwent SB-FURL and 37 patients who underwent staged bilateral FURL were selected into simultaneous group and staged group respectively.The Stone Free Rate(SFR)one month after surgery,overall operative time,overall hospital stay and complication rate between two groups were compared.Results The patients′surgeries of two groups were completed successfully.No significant difference were found between two groups about overall operative time,complication rate and SFR(P>0.05).While the SB-FURL group′s average overall hospital stay was significantly shorter than staged bilateral FURL group(P<0.05).No ureteral perforation and ureteral mucosal avulsion occurred in surgeries in the two groups,and there were no serious complications of urinogenic sepsis and renal insufficiency after surgeries.Conclusion SB-FURL is safe and effective in the treatment of bilateral renal calculi in selected patients.

关 键 词：同期双侧输尿管软镜 双肾结石 安全性 有效性 住院时间 

分 类 号：R699.2[医药卫生—泌尿科学]